Lea Bangsil DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B40532 Issued in CA

Legal business name

LEA BANGSIL DMD INC

Practice address

548 W la Habra Blvd
La Habra, CA 90631-5308

Phone

(562) 690-5261

NPI assigned

May 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lea BangsilNPI 1861662603

Title

President

Phone

(562) 690-5261

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lea Bangsil, DMD

  • Dentist
  • La Habra, CA
  • NPI 1861662603
  Medicare reassignment NPD Authorized official
• Laura Margaret Pei, DMD

  • Dentist
  • Brea, CA
  • NPI 1912623208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1073562823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 W LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315308",
            "telephone_number": "562-690-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 W LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315308",
            "telephone_number": "562-690-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA BANGSIL DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "BANGSIL",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-690-5261"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B40532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B40532-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandy Quynh Lau
• Stacey Melissa Lawson, LCSW
• Katherine Le
• Victoria Minh Le, PHARM D.
• Vinh-Hien Albert Le, PHARMD
• Amy Lee, PHARM.D.
• Angela Lee, MA
• Esther Lee
• Hyeong Ju Lee, DC
• Laura Lee, DDS

• General Practice Dentistry in La Habra, CA
• Providers in La Habra, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.